Vons Companies INC
Pharmacy, Community/Retail Pharmacy in Corona, CA. Organization (NPI-2).
NPI number1649201450
StatusActive
Last updated in NPPESOct 4, 2018
Details
- NPI
- 1649201450
- Entity type
- Organization (NPI-2)
- Legal business name
- Vons Companies INC
- Organization subpart
- No
- Enumeration date
- Jul 6, 2006
- Last updated
- Oct 4, 2018
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 3336C0003X | Pharmacy, Community/Retail Pharmacy | PHY52147 | CA | Yes |
| 332B00000X | Durable Medical Equipment & Medical Supplies | – | – | |
| 333600000X | Pharmacy | – | – |
Other names
- Vons Pharmacy #2596 (Doing Business As)
Practice location
369 Magnolia AveCorona, CA 92879-3300
Phone 951-549-1910 · Fax 951-549-1915
Mailing address
250 E Parkcenter BlvdMailstop Sec 2-B
Boise, ID 83706-3940
Phone 208-395-6200 · Fax 623-282-3834
Authorized official
Tiffany Eliopulos
Assistant Manager, Enrollments
2083953906
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